Individual provider · Type 1 NPI

Phyllis Renee Carra, CATC NO. 236831 I

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1215407549 Active

Practice location

2772 S. Martin Luther King Blvd
Fresno, CA 93706

Call (559) 265-4800 Map

Fax (559) 265-4823

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X236831 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1215407549

Phyllis Renee Carra, CATC NO. 236831 I's National Provider Identifier is 1215407549, issued on Nov 29, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Jan 2, 2024.